| NPI | 1225322738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 117116) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 08107) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2021-12-01 |